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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide01.html
October 01, 2014 - 1. Treating Tobacco Use and Dependence: 2008 Update
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
U.S. Public Health Service Clinical Practice Guideline
August 2009
Image: This and all following slides have the abbreviation PHS (Public Health Service) next to a s…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide15.html
October 01, 2014 - 15. Development Process (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
A flow chart where the first topic flows into the second, and so on.
Panel reviewed updated evidence and made recommendations based on evidence.
Manuscript drafted and reviewed by…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide16.html
October 01, 2014 - 16. Development Process (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Topics for the update were solicited from the panel and public (about 100 topics suggested).
Literature searches conducted on about half of the topics.
Abstracts obtained.
A…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide35.html
October 01, 2014 - 35. What's New in 2008? (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
The updated Guideline has produced even stronger evidence that counseling is an effective tobacco use treatment strategy. Of particular note are findings that counseling adds significan…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide33.html
October 01, 2014 - 33. Ten Key Guideline Recommendations (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Tobacco dependence treatments are both clinically effective and highly cost-effective relative to interventions for other clinical disorders. Providing coverage for thes…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide34.html
October 01, 2014 - 34. What's New in 2008?
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
What's New in 2008?
Previous Slide Contents Next Slide
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide50.html
October 01, 2014 - 50. What's New in 2008? 2000 Recommendations Changed for 2008 (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Children and Adolescents (Continued):
2000 Guideline: Recommendation #2: Clinicians in a pediatric setting should offer Smoking cessation advice…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide49.html
October 01, 2014 - 49. What's New in 2008? 2000 Recommendations Changed for 2008 (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Children and Adolescents:
2000 Guideline: Recommendation: Counseling and behavioral interventions shown to be effective with adults should be co…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide51.html
October 01, 2014 - 51. What's New in 2008? 2000 Recommendations Changed for 2008 (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Noncigarette Tobacco Users:
2000 Guideline: Recommendation: Smokeless/spit tobacco users should be identified, strongly urged to quit, and treat…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide61.html
October 01, 2014 - 61. For the Patient Willing To Quit
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Strategy A1. Ask— Systematically identify all tobacco users at every visit
Action
Strategies for implementation
Implement an office wide system that ensures that, for E…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide62.html
October 01, 2014 - 62. For the Patient Willing To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Action
Strategies for implementation
In a clear, strong , and personalized manner, urge every tobacco user to quit.
Advice should be:
Clear —"It is …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide63.html
October 01, 2014 - 63. For the Patient Willing To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Strategy A3. Assess —Determine willingness to make a quit attempt
Action
Strategies for implementation
Assess every tobacco user's willingness to make a qui…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide82.html
October 01, 2014 - 82. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Specialized Assessment
Recommendation: Once a tobacco user is identified and advised to quit, the clinician should assess the patient's willingness to quit at this …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide81.html
October 01, 2014 - 81. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (1996): Impact of having a tobacco use status identification system in place on abstinence rates among patients who smoke (n = 3 studies)
Screeni…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide94.html
October 01, 2014 - 94. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Type of Clinician
Recommendation: Treatments delivered by multiple types of clinicians are more effective than interventions delivered by a single type of clinician…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide93.html
October 01, 2014 - 93. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Type of Clinician
Recommendation: Treatment delivered by a variety of clinician types increases abstinence rates. Therefore, all clinicians should provide smoking c…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide95.html
October 01, 2014 - 95. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2000): Effectiveness of and estimated abstinence rates for interventions delivered by different types of clinicians (n =29 studies)
Type of clin…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide126.html
October 01, 2014 - 126. Treatment Recommendations: Medications (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Clinical guidelines for prescribing medication for treating tobacco use and dependence (continued)
What medications should a clinician use with a patient who…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide127.html
October 01, 2014 - 127. Treatment Recommendations: Medications (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Clinical guidelines for prescribing medication for treating tobacco use and dependence (continued)
When should second-line agents be used for treating tobacc…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide159.html
October 01, 2014 - 159. Treatment Recommendations: Medications-Relative Effectiveness (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Effectiveness and abstinence rates of medications relative to the nicotine patch (n = 86 studies).
Medication
…